Individual
JOHN ROBERT VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8573 CORDES CIR, GERMANTOWN, TN 38139-3317
(901) 754-6733
(901) 754-7808
Mailing address
7398 W. DESOTO RD, WALLS, MS 38680
(662) 781-1289
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
02495
TN
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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